| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.50 | $135.50 | $211.38 | |
Aetna
| Professional | $121.95 | $135.50 | $135.50 | |
BCBS
| Facility | $115.70 | $161.33 | $283.35 | |
BCBS
| Professional | $101.62 | $106.97 | $114.46 | |
Cigna
| Professional | $173.87 | $217.34 | $320.92 | |
Health Alliance Plan
| Facility | $135.50 | $135.50 | $248.98 | |
Health Alliance Plan
| Professional | $135.50 | $136.91 | $171.16 | |
United
| Professional | $59.90 | $85.58 | $142.63 |